C HAPTER 26: C RISIS AND D ISASTER
Halter: Varcarolis’ Foundations of Psychiatric -Mental Health Nursing: A
Clinical Approach, 9th Edition
MULTIPLE CHOICE
1. Which situation demonstrates use of primary intervention related to crisis?
a. Implementation of suicide precautions for a depressed client
b. Teaching stress -reduction techniques to a first -year college student
c. Assessing coping strategies used by a client who attempted suicide
d. Referring a client diagnosed with schizophrenia to a partial
hospitalization program
ANS: B
Primary care-related crisis intervention promotes mental health and
reduces mental illness. The incorrect options are examples of
secondary or tertiary interventions.
PTS: 1 DIF: Cognitive Level: Appl y (Application)
TOP: Nursing Process: Implementation MSC: Client
Needs: Psychosocial Integrit y
2. A victim of intimate partner violence comes to the crisis center seeking
help. Which crisis intervention strategies should the nurse f ocus on?
a. supporting emotional securit y and reestablishing equilibrium.
b. long-term resolution of issues precipitating the crisis.
c. promoting growth of the individual.
, d. providing legal assistance.
ANS: A
Strategies of crisis intervention address the immediate cause of the
crisis and restoration of emotional security and equilibrium. The goal
is to return the individual to the pre -crisis level of function. Crisis
intervention is, by definition, short term. The correct response is the
most global answer. Promoti ng growth is a focus of long -term therapy.
Providing legal assistance might or might not be applicable.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Planning MSC: Client Needs:
Psychosocial Integrity
3. After celebratin g the fortieth birthday, an individual becomes concerned
with the loss of youthful appearance. What t ype of crisis has occurred?
a. Reactive
b. Situational
c. Maturational
d. Body image
ANS: C
Maturational crises occur when a person arrives at a new stage of
development and finds that old coping styles are ineffective but has not
yet developed new strategies. Situational crises arise from sources
external to the individual. “Reactive” and “body image” are not t ypes
of crisis.
, PTS: 1 DIF: Cognitive Level: Understan d (Comprehension)
TOP: Nursing Process: Assessment MSC: Client Needs:
Health Promotion and Maintenance
4. Which scenario is an example of a situational crisis?
a. The death of a child from sudden infant death syndrome
b. Development of a heroin addiction
c. Retirement of a 55 -year-old person
d. A riot at a rock concert
ANS: D
The rock concert riot is unplanned, accidental, violent, and not a part
of everyday life. The incorrect options are examples of maturational
crises.
PTS: 1 DIF: Cognitive Level: Understand (Com prehension)
TOP: Nursing Process: Assessment MSC: Client Needs:
Psychosocial Integrity
5. Which agency provides coordination in the event of a terrorist attack?
a. Food and Drug Administration (FDA)
b. Environmental Protection Agency (EPA)
c. National Incident Manag ement S ystem (NIMS)
d. Federal Emergency Management Agency (FEMA)
ANS: C
Halter: Varcarolis’ Foundations of Psychiatric -Mental Health Nursing: A
Clinical Approach, 9th Edition
MULTIPLE CHOICE
1. Which situation demonstrates use of primary intervention related to crisis?
a. Implementation of suicide precautions for a depressed client
b. Teaching stress -reduction techniques to a first -year college student
c. Assessing coping strategies used by a client who attempted suicide
d. Referring a client diagnosed with schizophrenia to a partial
hospitalization program
ANS: B
Primary care-related crisis intervention promotes mental health and
reduces mental illness. The incorrect options are examples of
secondary or tertiary interventions.
PTS: 1 DIF: Cognitive Level: Appl y (Application)
TOP: Nursing Process: Implementation MSC: Client
Needs: Psychosocial Integrit y
2. A victim of intimate partner violence comes to the crisis center seeking
help. Which crisis intervention strategies should the nurse f ocus on?
a. supporting emotional securit y and reestablishing equilibrium.
b. long-term resolution of issues precipitating the crisis.
c. promoting growth of the individual.
, d. providing legal assistance.
ANS: A
Strategies of crisis intervention address the immediate cause of the
crisis and restoration of emotional security and equilibrium. The goal
is to return the individual to the pre -crisis level of function. Crisis
intervention is, by definition, short term. The correct response is the
most global answer. Promoti ng growth is a focus of long -term therapy.
Providing legal assistance might or might not be applicable.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Planning MSC: Client Needs:
Psychosocial Integrity
3. After celebratin g the fortieth birthday, an individual becomes concerned
with the loss of youthful appearance. What t ype of crisis has occurred?
a. Reactive
b. Situational
c. Maturational
d. Body image
ANS: C
Maturational crises occur when a person arrives at a new stage of
development and finds that old coping styles are ineffective but has not
yet developed new strategies. Situational crises arise from sources
external to the individual. “Reactive” and “body image” are not t ypes
of crisis.
, PTS: 1 DIF: Cognitive Level: Understan d (Comprehension)
TOP: Nursing Process: Assessment MSC: Client Needs:
Health Promotion and Maintenance
4. Which scenario is an example of a situational crisis?
a. The death of a child from sudden infant death syndrome
b. Development of a heroin addiction
c. Retirement of a 55 -year-old person
d. A riot at a rock concert
ANS: D
The rock concert riot is unplanned, accidental, violent, and not a part
of everyday life. The incorrect options are examples of maturational
crises.
PTS: 1 DIF: Cognitive Level: Understand (Com prehension)
TOP: Nursing Process: Assessment MSC: Client Needs:
Psychosocial Integrity
5. Which agency provides coordination in the event of a terrorist attack?
a. Food and Drug Administration (FDA)
b. Environmental Protection Agency (EPA)
c. National Incident Manag ement S ystem (NIMS)
d. Federal Emergency Management Agency (FEMA)
ANS: C
